Zomwe Zimayambitsa Mavuto Obadwa Omwe Simunamvepo

Zamkati

• Chifukwa CMV Ndi Chimodzi mwa Matenda Osauka Kwambiri Omwe Sanakambirane
• Kodi CMV imawoneka bwanji mwa mwana yemwe ali ndi kachilombo m'mimba?
• Momwe Mungapewere CMV Ngati Muli Oyembekezera
• Onaninso za

Kwa makolo oyembekezera, miyezi isanu ndi inayi yomwe amakhala ndikudikirira kuti mwana afike ili ndi mapulani ambiri. Kaya ndikujambula nazale, kusefa ma onesies okongola, kapena ngakhale kulongedza thumba lachipatala, kwakukulu, ndi nthawi yosangalatsa, yodzaza ndi chisangalalo.

Zoonadi, kubweretsa mwana m’dziko kungakhalenso chokumana nacho chodetsa nkhaŵa kwambiri, ndiko kuti ponena za thanzi la mwanayo. Ndipo ngakhale kuti matenda ambiri amatha kuwonedwa kudzera mu ultrasound kapena kuyankhidwa atangobadwa kumene, zovuta zina zazikulu siziwonetsa zizindikiro kapena zizindikiro zochenjeza - kapena sizidziwika ndi anthu wamba (ndipo sizikambidwa kawirikawiri ndi madokotala).

Chitsanzo chimodzi chabwino ndi cytomegalovirus (CMV), kachilombo kamene kamapezeka mwa mwana m'modzi mwa ana 200 obadwa omwe angayambitse zolakwika zambiri zobadwa nazo. (Zokhudzana: Matenda Obadwa Kwatsopano Amene Ali ndi Mimba Aliyense Amafunikira pa Radar Yawo)

"CMV ili ndi vuto lalikulu lodziwitsa," akufotokoza a Kristen Hutchinson Spytek, purezidenti komanso woyambitsa mnzake wa National CMV Foundation. Amanena kuti pafupifupi 9 peresenti ya akazi (inde, basi zisanu ndi zinayi) adamva ngakhale za CMV, komabe, "ndiye chifukwa chofala kwambiri cha zilema zobereka ku United States." (Izi zimaphatikizapo zovuta zamatenda monga Down syndrome ndi cystic fibrosis, komanso ma virus monga Zika, listeriosis, ndi toxoplasmosis, akuwonjezera.)

CMV ndi kachilombo ka herpes komwe, ngakhale imatha kukhudza anthu azaka zonse, imakhala yopanda vuto lililonse komanso yopanda chizindikiro kwa akulu ndi ana omwe alibe vuto lililonse, atero Spytek. "Oposa theka la achikulire onse adadwala CMV asanakwanitse zaka 40," akutero. "CMV ikakhala m'thupi la munthu, imatha kukhala komweko kwa moyo wonse." (Zokhudzana: Ndendende Momwe Ma Homoni Anu Amasinthira Panthawi Yoyembekezera)

Koma apa ndi pomwe pamakhala zovuta: Ngati mayi wapakati yemwe wanyamula mwana ali ndi kachilombo ka CMV, ngakhale ngati sakudziwa, atha kupatsira kachiromboka kwa mwana yemwe sanabadwe.

Ndipo kupititsa CMV kwa mwana wosabadwa kumatha kuwononga kwambiri kukula kwawo. Malinga ndi National CMV Foundation, mwa ana onse obadwa ndi matenda a CMV, mwana mmodzi mwa 5 aliwonse amakhala ndi zilema monga kusawona, kumva kumva, ndi zina zachipatala. Nthawi zambiri amalimbana ndi matendawa m'miyoyo yawo yonse, popeza pakadalibe katemera kapena mankhwala wamba a CMV (komabe).

“Matendawa amawononga kwambiri mabanja, ndipo amakhudza ana oposa 6,000 [ku United States] pachaka,” akutero Spytek.

Nazi zonse zomwe muyenera kudziwa zokhudza CMV, kuphatikizapo momwe zimafalira komanso zomwe mungachite kuti mukhale otetezeka (komanso mwana watsopano).

Chifukwa CMV Ndi Chimodzi mwa Matenda Osauka Kwambiri Omwe Sanakambirane

Pomwe National CMV Foundation ndi mabungwe ena akugwira ntchito nthawi yochulukirapo kuti aphunzitse anthu za chilengedwe cha CMV ponseponse (komanso chowopsa), momwe kachilomboka kamafalitsidwira kumatha kuyipangitsa kukhala nkhani yabodza kwa madotolo kuti akambirane ndi makolo oyembekezera kapena anthu azaka zobereka. , Pablo J. Sanchez, MD, katswiri wa matenda opatsirana a ana komanso wofufuza wamkulu ku Center for Perinatal Research ku The Research Institute.

"CMV imafalikira kudzera mumadzi onse amthupi, monga mkaka wa m'mawere, mkodzo, ndi malovu, koma imadziwika kwambiri kudzera malovu," akufotokoza Dr. Sanchez. M'malo mwake, CMV poyamba idatchedwa kachilombo ka salivary gland, ndipo amapezeka kwambiri mwa ana azaka zapakati pa 1 mpaka 5 - makamaka m'malo osamalira ana. (Zokhudzana: Mlingo wa Imfa Zokhudzana ndi Mimba ku U.S. Ndiwokwera Modabwitsa)

Izi zikutanthauza chiyani: Ngati muli ndi pakati ndipo muli ndi mwana wina, kapena mukusamalira ana aang'ono, mumakhala pachiwopsezo chopatsira mwana wanu.

"Monga tikudziwira, ana aang'ono amakonda kuika chilichonse m'kamwa mwawo," akutero Dr. Sanchez. "Chifukwa chake ngati [mayi wapakati] akusamalira mwana wamng'ono yemwe ali ndi kachilomboka, kugawana makapu ndi masipuni kapena kusintha matewera, [atha] kutenga kachilomboka."

Ndikofunikira kudziwa kuti kusamutsaku sikungamupweteketse munthu wamkulu (pokhapokha atapanda kudziteteza). Apanso, chiwopsezo chimakhala pakupatsira mwana wakhanda.

Inde, monga aliyense amene amasamalidwa mwana wamng'ono akudziwa, pali zambiri wa malovu ndi tulo okhudzidwa. Ndipo ngakhale kusamba m'manja komanso kutsuka mbale nthawi zambiri sikumakhala njira yabwino kwambiri yopewera osamalira omwe ali ndi nkhawa, malinga ndi Spytek, maubwino ake amapitilira zovuta - zomwe achipatala samazitchula nthawi zonse.

"Achipatala sadziwa zambiri za CMV, ndipo nthawi zambiri amachepetsa mavuto ake. Palibe chisamaliro pakati pa mabungwe azachipatala poperekera uphungu kwa amayi apakati," akufotokoza, ndikuwona kuti American College of Obstetricians and Gynecologists akuwonetsa kuti upangiri ndi Kupereka malingaliro olowererapo kwa amayi apakati omwe ali ndi ana oyenda mnyumba "ndizosatheka kapena kolemetsa." Kafukufuku wina adawonetsa kuti ochepera pa 50% a ob-gyns amauza anthu apakati momwe angapewere CMV.

"Zodzilungamitsa [zawo] sizimakhazikika," akubwereza Spytek. "Ndipo zoona zake n'zakuti, pali zolakwa zazikulu, mantha, ndi chisoni zomwe zimagwirizanitsidwa ndi zotsatira za CMV kapena zotsatira za matenda kwa makolo - izi zenizeni ndizomwe zimakhala zolemetsa. "

Kuphatikiza apo, monga Sanchez anenera, CMV siyolumikizidwa ndi zoopsa zilizonse kapena zoopsa - ndichinthu chomwe anthu amakhala nacho. "Ndi zomwe amayi amandiuza nthawi zonse - kuti aliyense amawauza kuti azikhala kutali ndi amphaka [omwe amatha kunyamula matenda owopsa kwa makolo oyembekezera], osati kwa ana awo," akutero.

Kubwereranso kwina kwakukulu ndi CMV, malinga ndi Dr. Sanchez? Palibe mankhwala kapena mankhwala. "Tikufuna katemera," akutero. "Chakhala chofunikira kwambiri kupanga imodzi. Pakhala ntchito yopitilira, koma sitinafikebe."

Kodi CMV imawoneka bwanji mwa mwana yemwe ali ndi kachilombo m'mimba?

CMV imatha kudziwonetsera m'njira zosiyanasiyana (ndipo kwa ena, palibe zisonyezo konse). Koma kwa makanda omwe amasonyeza zizindikiro, amakhala ovuta, akutero Dr. Sanchez.

“Mwa [makanda] amene amasonyeza zizindikiro za matenda, ena angakhale aakulu,” iye akufotokoza motero. "Izi ndichifukwa choti pomwe kachilomboka kamadutsa pa placenta ndikupatsira mwana wosabadwa msanga nthawi yobereka, imatha kupita ku mitsempha yayikulu ndipo tsopano imalola ma cell aubongo kuti asamukire m'malo abwinobwino. Izi zimabweretsa mavuto amanjenje chifukwa ubongo sunapangidwe bwino. "

Malinga ndi National CMV Foundation, ngati muli ndi CMV panthawi yomwe muli ndi pakati, pali mwayi wa 33 peresenti kuti mupereke mwana wanu. Ndipo mwa makanda amene ali ndi kachilomboka, 90 peresenti ya ana obadwa ndi CMV samasonyeza zizindikiro pa kubadwa, pamene 10 peresenti yotsalayo imasonyeza zina zachilendo. (Chifukwa chake ngati muli ndi pakati, ndikofunikira kuti muchepetse ana anu ang'ono omwe atha kukhala ndi kachilomboka.) (Zokhudzana: Malangizo Ogona Ndi Mimba Okuthandizani Pomaliza Kupeza Mpumulo Wausiku Olimba)

Pambuyo pamavuto amubongo, Dr. Sanchez akuti kumva kwakumva ndichizindikiro chofala kwambiri chokhudzana ndi CMV, nthawi zambiri chimawonekera pambuyo pake ali mwana. "Ndi odwala anga achinyamata, ngati kumva kutayika sikunafotokozedwe, nthawi zambiri ndimadziwa kuti [anadwala] ndi CMV ali m'mimba."

Ndipo ngakhale kulibe katemera kapena mankhwala ochiritsira a CMV, kuyezetsa magazi kulipo kwa akhanda, ndipo National CMV Foundation ikugwira ntchito pamawu. "Tikukhulupirira kuti kuwunika kwa akhanda konsekonse ndichinthu choyamba chofunikira pakuwongolera kuzindikira ndi kusintha kwamakhalidwe, ndikuyembekeza kuchepetsa chiopsezo cha zotsatira zoyipa chifukwa chobadwa ndi CMV," Spytek akufotokoza.

Dr. Sanchez akunena kuti zenera loyang'ana ndi lalifupi, choncho ndikofunika kuika patsogolo kuyezetsa mwamsanga mutangobadwa. "Tili ndi milungu itatu komwe titha kudziwa kuti ali ndi vuto lobadwa nalo la CMV ndikuwona ngati zoopsa zazitali zitha kudziwika."

Ngati CMV ipezeka mkati mwa nthawi ya masabata atatu, Spytek akunena kuti mankhwala ena oletsa tizilombo toyambitsa matenda amatha kuchepetsa kuopsa kwa kumva kapena kupititsa patsogolo chitukuko. "Zowonongeka zomwe zidabwera chifukwa cha congenital CMV sizingasinthidwe," akufotokoza motero. (Zogwirizana: Zakudya 4 Zomwe Zitha Kukulitsa Thanzi La Akazi Ogonana)

Ngakhale pali zowunikira akuluakulu, Dr. Sanchez sawalimbikitsa kwa odwala ake. "Anthu ambiri mdera la [CMV] amadzimva kuti [amayi apakati] ayenera kukayezetsa, koma osati ine. Kaya ali ndi CMV kapena ayi, ayenera kusamala."

Momwe Mungapewere CMV Ngati Muli Oyembekezera

Ngakhale kulibe chithandizo chamankhwala kapena katemera wa CMV, pali njira zingapo zodzitetezera zomwe anthu omwe ali ndi pakati angatenge kuti apewe kutenga ndi kusamutsa matendawa kwa mwana wosabadwa.

Nawa maupangiri apamwamba a Spytek ochokera ku National CMV Foundation:

1. Osagawana chakudya, ziwiya, zakumwa, mapesi, kapena mswachi. Izi zimapita kwa aliyense, koma makamaka ndi ana azaka zapakati pa umodzi ndi zisanu.
2. Osayika chiphokoso kuchokera kwa mwana wina mkamwa mwanu. Kwambiri, musatero.
3. Mpsompsoneni mwana patsaya kapena pamutu, osati pakamwa pawo. Bonasi: Mitu ya makanda imanunkhiza ah-kuwonetsa. Ndi chowonadi cha sayansi. Ndipo khalani omasuka kupereka kukumbatirana konse!
4. Sambani m'manja ndi sopo kwa masekondi 15 mpaka 20 pambuyo pa kusintha matewera, kudyetsa mwana wamng’ono, kugwira zoseŵeretsa, ndi kupukuta madontho, mphuno, kapena misozi ya mwana wamng’ono.

Onaninso za